| NPI | 1891820130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY PALLON Chief Operating Officer 770-469-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 060-R-0018) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA CP-FC0040079) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: GA 060-R-0018) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-05-21 |